CN104144660B - KAFO and be used for wearing orthotic method - Google Patents

KAFO and be used for wearing orthotic method Download PDF

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Publication number
CN104144660B
CN104144660B CN201280065253.6A CN201280065253A CN104144660B CN 104144660 B CN104144660 B CN 104144660B CN 201280065253 A CN201280065253 A CN 201280065253A CN 104144660 B CN104144660 B CN 104144660B
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CN
China
Prior art keywords
kafo
handrail
arm
shoulder
pectoral girdle
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
CN201280065253.6A
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Chinese (zh)
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CN104144660A (en
Inventor
弗洛里安·埃尔贝
杰罗·霍普曼
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Oped AG
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Oped AG
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Publication date
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Publication of CN104144660A publication Critical patent/CN104144660A/en
Application granted granted Critical
Publication of CN104144660B publication Critical patent/CN104144660B/en
Expired - Fee Related legal-status Critical Current
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/37Restraining devices for the body or for body parts, e.g. slings; Restraining shirts
    • A61F5/3715Restraining devices for the body or for body parts, e.g. slings; Restraining shirts for attaching the limbs to other parts of the body
    • A61F5/3723Restraining devices for the body or for body parts, e.g. slings; Restraining shirts for attaching the limbs to other parts of the body for the arms
    • A61F5/3738Slings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/0102Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
    • A61F5/013Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations for the arms, hands or fingers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/04Devices for stretching or reducing fractured limbs; Devices for distractions; Splints
    • A61F5/05Devices for stretching or reducing fractured limbs; Devices for distractions; Splints for immobilising
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/37Restraining devices for the body or for body parts, e.g. slings; Restraining shirts
    • A61F5/3715Restraining devices for the body or for body parts, e.g. slings; Restraining shirts for attaching the limbs to other parts of the body
    • A61F5/3723Restraining devices for the body or for body parts, e.g. slings; Restraining shirts for attaching the limbs to other parts of the body for the arms
    • A61F5/3753Abduction support

Abstract

nullThe KAFO (10) and the one that the present invention relates to a kind of arm for supporting people are used for wearing orthotic method,Wherein KAFO includes the fixing equipment (1) for being fixed on the trunk of people by KAFO and is used for the shoulder support belonging to arm relative to people and fixing arm、Particularly forearm、The location equipment (12) of elbow and/or upper arm,Wherein location equipment is by fixing equipment fixing,Equipment of wherein fixing includes waistband apparatus (13) and shoulder strap device (14),Wherein when KAFO is worn on the person waistband apparatus in transverse plane around trunk,And wherein shoulder strap device is in the supreme stretching, extension of the shoulder deviating from arm of people,Wherein shoulder strap device includes shoulder belt (23) and the pectoral girdle (22) being connected with described shoulder belt,Described shoulder belt and pectoral girdle are hinged on far-end (24) and the near-end (29) of location equipment,And be hinged in the belly section (26) of waistband apparatus.

Description

KAFO and be used for wearing orthotic method
Technical field
The KAFO and the one that the present invention relates to a kind of arm for supporting people are orthopedic for wearing The method of device, wherein KAFO includes the fixing equipment for being fixed on the trunk of people by KAFO With shoulder support and fixing arm, particularly forearm, the elbow being used for the belonging arm relative to people And/or the location equipment of upper arm, wherein location equipment is by fixing equipment fixing, wherein fixes equipment Including waistband apparatus and shoulder strap device, wherein when KAFO is worn on the person waistband apparatus at horizontal stroke Around trunk in plane, and wherein shoulder strap device was stretched on the shoulder of arm in deviating from of people Exhibition.
Background technology
This kind of KAFO is for stablizing, lighten the burden, fix, guide or correct shoulder or the shoulder of people Joint.Orthotic location equipment is always configured at this so that the hand belonging to relevant shoulder of people Arm is fixed relative to shoulder or is restricted in its freedom of movement, in order to such as stable shoulder Portion or the dislocation for the treatment of shoulder.Arm is fixed and carries out generally by means of handrail, described in hold up Hand is the most on segment-by-segment basis along forearm extension.Furthermore it is known that KAFO include fixing equipment, described Fixing equipment is for being connected location equipment with the trunk of relevant people.Fixing equipment generally by belt or Person carries formation, described belt or band can be matched with the Body proportion of relevant people, and described skin The arm of location equipment or handrail and people fixed thereon is fixed on people's by band or waistband It is fixed in desired position on trunk or relative to this.
Because treating that the people treated by means of this kind of KAFO generally had on the relatively long time period Threading KAFO, so needing: KAFO easily can be operated by relevant people oneself, and people Its life style is use up feasible littlely the most restricted.Especially, on the health of people stretch band or Person's belt is generally perceived as being interfering.Orthopedic when the most also dressing Device, then belt or band major limitation freedom of movement and generation interference on the health of people Extruded position.KAFO also is able to be configured to so that relevant people for such as changing one's clothes and Speech can be taken off only by means of another person or wear KAFO.Its reason is especially: for this Individual process does not use the arm belonging to shoulder to be treated, and then can carry out KAFO the most singlehandedly Wear.Also relate to orthotic possible governor motion for regulating arm to be fixed Position.
Summary of the invention
Therefore the present invention based on following purpose, i.e. proposes the KAFO of a kind of arm for supporting people And propose one and be used for wearing this kind of orthotic method, described KAFO or by means of described Method realizes use more comfortable for people.
This purpose is come real by a kind of appliance arrangement, the KAFO of a kind of arm for supporting people Existing, including the fixing equipment for described KAFO is fixed on the trunk of people and be used for relative to The shoulder support belonging to arm of people and the location equipment of fixing arm, wherein said location equipment by Described fixing equipment holds, and wherein said fixing equipment includes waistband apparatus and shoulder strap device, wherein When described KAFO is worn on the person, described waistband apparatus in transverse plane around trunk, And wherein said shoulder strap device stretches on the shoulder of arm in deviating from of people, it is characterised in that Described shoulder strap device includes shoulder belt and the pectoral girdle being connected with described shoulder belt, and wherein said pectoral girdle is with described Shoulder belt connects, and described shoulder belt is hinged on the near-end of described location equipment, and described pectoral girdle is hinged On the far-end of described location equipment, described pectoral girdle is also articulated to the belly section of described waistband apparatus On, the described pectoral girdle described far-end at described location equipment and the described belly portion of described waistband apparatus Stretching between Duan, described shoulder belt is stretched between the described near-end and described pectoral girdle of described location equipment Exhibition;Realize with a kind of method, a kind of for wearing the orthotic of arm for supporting people Method, wherein said KAFO includes fixing for be fixed on the trunk of people by described KAFO Equipment and the location equipment for support with fixing arm, wherein said location equipment is by described fixing Equipment holds, and wherein said fixing equipment includes waistband apparatus and shoulder strap device, and its feature exists In, described arm is fixed on the equipment of described location, and wherein said waistband apparatus is fixed on described body On Gan, described waistband apparatus in transverse plane around described trunk, wherein said shoulder strap device The shoulder belt being connected with the near-end of described location equipment, deviates from tractive on the shoulder of arm people, And the pectoral girdle being connected with described shoulder belt of wherein said shoulder strap device is remote with described location equipment End connects, and described pectoral girdle is hinged in the belly section of described waistband apparatus, and described pectoral girdle is described fixed Stretch between described far-end and the described belly section of described waistband apparatus of position equipment, described shoulder belt Stretch between the described near-end and described pectoral girdle of described location equipment.
The present invention relates to the KAFO of a kind of arm for supporting people, including for KAFO is solid The fixing equipment that is scheduled on the trunk of people and for relative to belong to people arm shoulder support and The location equipment of fixing arm, particularly forearm, elbow and/or upper arm, wherein location equipment is by solid Locking equipment holds, and equipment of wherein fixing includes waistband apparatus and shoulder strap device, wherein wears at KAFO When being worn on the person waistband apparatus in transverse plane around trunk, and wherein shoulder strap device people Deviate from the shoulder of arm stretch, wherein shoulder strap device includes shoulder belt and the chest being connected with shoulder belt Band, described shoulder belt and pectoral girdle are proximally and distally gone up location equipment, and are hinged on waistband apparatus Belly section on.
Therefore equipment of fixing includes waistband apparatus, shoulder belt and pectoral girdle.Waistband apparatus is configured to so that The KAFO being worn on the person substantially in the region of belly or buttocks ring week around people Trunk.Waistband apparatus is connected with location equipment in addition so that described waistband apparatus is arranged on trunk On.Shoulder belt is hinged on the near-end of location equipment and laterally extends over deviating from of back and people The shoulder of fixing arm is until being at least stretched on the front side of trunk.In the region of the chest of people, Shoulder strap device is guided forward by two band section, and described band section can pass through shoulder belt and pectoral girdle structure Become or constitute separately through pectoral girdle.One band section is hinged on the far-end of location equipment and another One band section is hinged in the belly section of waistband apparatus.By this set of associated band, especially It advantageously achieves, and in the region at back, shoulder belt connects without node or stretches without bracelet. Also without other band or belt below the arm opposite to relevant shoulder.In addition by shoulder The connection of the far-end of belting and location equipment, the tensioning of shoulder strap device is feasible and then will location Equipment or handrail are moved to be feasible on trunk.Additionally, by shoulder strap device and waistband apparatus Belly section connects, and shoulder belt and pectoral girdle stretching, extension in territory, regio pectoris are advantageously subjected to impact.When should be by During women persons wear's KAFO, this is the most significant, because the band stretched on chest leads to Often it is felt as being interfering by women.According to the composition of shoulder strap device described before, in addition It is possible that particularly simple ground single-hand-wearing or take off KAFO, without another person.
In one embodiment, pectoral girdle can be at the far-end of location equipment and the belly of waistband apparatus Stretch between section.Therefore shoulder belt is then able to be hinged on pectoral girdle in the region of the chest of people.Shoulder The connection section of band and pectoral girdle the most such as can be placed in by the corresponding length change of band section In territory, regio pectoris so that shoulder strap device does not play interfering effect.
In addition shoulder belt can stretch between near-end and the pectoral girdle of location equipment.It is possible that By variable-length regulate shoulder belt or pectoral girdle to location equipment proximally and distally between The belt length of shoulder strap device produces impact.
It is particularly advantageous that shoulder belt can be connected can be arranged on along the moveable mode of pectoral girdle Pectoral girdle on.When first shoulder belt is put into and deviates from the shoulder of fixing arm by people, KAFO Therefore single-hand-wearing simply is enabled in particular to.This can be by sliding in shoulder belt, as in jacket Equally realize.Because shoulder belt is then able to arrange in the way of moving on pectoral girdle, so shoulder Belting tensioning not yet, thereby simplify wearing of shoulder belt.After wearing shoulder belt, pectoral girdle can It is fixed on the far-end of location equipment.By this can singlehanded implement fixing, therefore, it is possible to enter The tensioning of row shoulder belt.Pectoral girdle is therefore, it is possible to be that length can regulate.
In addition it is possible that when pectoral girdle with can along waistband in belly section movably mode arrange Time on the waistband of the waistband apparatus connected, advantageously adjust shoulder belt or pectoral girdle in territory, regio pectoris Stretching, extension.In this case, pectoral girdle or pectoral girdle be connected institute position with waistband can be along waistband Mobile.KAFO therefore, it is possible to be especially widely used because the trunk ring week of pectoral girdle and people or Belly ring week irrelevantly and then the most always can be arranged by mobile with the length of waistband In the zone line of belly section or in the sagittal plane of trunk.
Location equipment can have support means, and described support means is fixed on the horizontal of waistband apparatus Section on, and the equipment that positions is furthermore possible to have handrail, and wherein the arm of people can be fixed on On handrail, wherein support means can be connected with handrail by means of attachment means.When support means is solid When being scheduled in the horizontal section of waistband apparatus, support means is located substantially directly in the forearm of bending Lower section.Support means such as can be constituted on tabular ground, and is fixed on waist the most in a horizontal plane On belting.Connection between support means and waistband apparatus can be via molding or Flange joint Connecting element on waistband apparatus is carried out.The handrail of location equipment can be configured to so that people Arm can particularly readily be fixed on handrail.Handrail such as can be constituted in the way of slide rail Or being configured to the element of flute profile, the element of described flute profile accommodates relevant arm partly.Therefore hold up Hand also is able to include the receiving portion of elbow, and then ensure that the location of arm restriction in handrail.Excellent Select handrail also to be able to include belt or band, by means of described belt or band, forearm and/or on Arm can be easily fixed on handrail.The most also it is possible that handrail has liner, in order to keep away Exempt from possible pressurized position.Attachment means therefore, it is possible to handrail is connected with support means, Qi Zhonglian Connection device can be consisted of handrail and support means itself.But attachment means also is able to be own Component or assembly, described component or assembly are arranged between handrail and support means.
Attachment means is preferably able to be configured to so that handrail can be can unclamp relative to support means Mode fixed.Because support means is fixed on trunk relative by means of waistband apparatus by it In trunk is fixed on its position, so it is possible that handrail being entered relative to trunk as far as possible And arm of being correlated with orients and is fixed in desired position.Here it is preferably able to be provided with following solid Determine mechanism, described fixed mechanism achieve repeatedly unclamp and fix and described fixed mechanism can letter Single ground operates with hand.
Can be provided with palmrest on handrail, described palmrest can be relative to handrail indulging along handrail Move to direction.Particularly in the position of the bending of arm, belong to the hand of arm therefore, it is possible to lead to Cross palmrest to support.In addition palmrest can be adjusted to be matched with individuality by the mobility of palmrest Arm length.Palmrest such as can be fixed in the longitudinal guide portion of handrail, and by means of can Locking member by hand unclamps along the longitudinal direction of handrail, moves and fixing.
Attachment means is therefore, it is possible to be configured to so that handrail can move relative to support means.By This is capable of following advantage, though i.e. handrail be fixed in support means arm can limit Fixed boundary is moved.The most such as can train specific muscle by limited arm motion Group, and the shoulder that this locomotor damage that do not hesitates is to be treated.Therefore arm also is able to the most fully Fix and in order to training goal is moved along the direction of motion preset by attachment means alternatively.
Therefore linear guide portion, wherein linear guide portion can be constituted by attachment means and support means Can be set to so that handrail is relative to support means or relative to the sagittal abduction of trunk Or interior receipts are feasible.Therefore upper arm can be relative to comptocormia or elongation, wherein handrail Therefore the motion of substantial linear is implemented relative to support means.Arm is put down relative to the crown of trunk The motion in face therefore due to the limitation of movement caused by linear guide portion of arm but infeasible 's.
In order to prolongedly constitute linear guide portion if desired, it is possible to adapt to guiding section support Device, can extend linear guide portion by means of described guiding section.If support means such as with The form of plate is constituted, then another plate can be simply secured in support means, described another Individual plate extends support means and then extends linear guide portion.Linear guide portion such as can be configured to prop up Recess in support arrangement or be configured to the through hole of slit-shaped.In addition can structure in linear guide portion Become to have locking projections, attachment means can be locked and then be fixed on the phase by means of described locking projections In the position hoped.
This outer connecting device can constitute rotation guide portion, by means of described rotation guide portion, handrail Rotation in the transverse plane of trunk is feasible.Need the most subsequently: be parallel to the arrow of trunk Shape face or orient handrail, but relative to sagittal plane by institute along the sagittal direction towards trunk State handrail be fixed in different Angle Position and/or move in default boundary.As linearly drawn As leading in portion, therefore by means of rotating guide portion, training muscle group and the demand of pressing position and solid Surely arm of being correlated with is feasible.
Preferably rotate guide portion to be capable of relative to support means or relative to the sagittal plane of trunk The rotation in the scope of+30 ° to-30 °.In addition locking member can rotate structure in guide portion Becoming, described locking member achieves specifically, lock and then fixing in the angle stepping of such as 5 ° Handrail.
In order to guarantee to keep safely relative to trunk handrail, shoulder belt and chest while simple operations Band can respectively with handrail can be connected in the way of unclamping.Therefore shoulder belt is then able to be fixed on handrail Near-end on and pectoral girdle can be fixed on the far-end of handrail.Fixing of unclamping can be simply Connected by hook, bracelet connects or socket connection realizes.Wearing KAFO the most subsequently Time, pectoral girdle also is able to be connected with handrail with by hand simply.Additionally, the weight warp of therefore arm It is supported directly on the shoulder deviating from arm by shoulder strap device.
Also being able to advantageously thus, attachment means constitutes inclined lead part so that handrail phase It is feasible for support means or relative to the inclination of the transverse plane of trunk.Therefore forearm can Enough it is inclined at an angle relative to transverse plane or extends or angled.Inclined lead Portion is it is achieved that forearm moves in default boundary or changing the desired position of forearm Mate with entering.
The inclination of handrail can realize by means of to the adjustment of shoulder belt or pectoral girdle.Therefore forearm phase Position for transverse plane can simply univocality determine and be matched with the body sizes of individuality.
According to the present invention for wearing in the orthotic method of the arm for supporting people, rectify Shape device includes the fixing equipment for being fixed on the trunk of people by KAFO and is used for supporting and consolidating Determining the location equipment of arm, wherein location equipment is by fixing equipment fixing, and wherein fixes equipment Including waistband apparatus and shoulder strap device, wherein arm is fixed on the equipment of location, wherein waistband apparatus Being fixed on trunk, described waistband apparatus is around described trunk in transverse plane, and wherein shoulder belt fills Shoulder belt tractive on the shoulder of people deviating from arm that the near-end with location equipment put is connected, and And wherein the pectoral girdle being connected with shoulder belt of shoulder strap device is connected with the far-end of location equipment, described pectoral girdle It is hinged in the belly section of waistband apparatus.
Especially, by constituting shoulder belt and pectoral girdle and its consolidating on waistband apparatus and location equipment Fixed, it is possible to, particularly simple ground single-hand-wearing and regulate KAFO, this is required for by Arm in orthosis supports.Especially, this can realize in the following way, i.e. pectoral girdle energy Enough farthest extending, and then form the circle of maximum feasible, described circle can be slided by upper body and wear Cross.
Arm also is able to be balanced by the length of regulation pectoral girdle.It is to say, pectoral girdle can be at it Length is set or is adjusted to so that arm or handrail be set to or balance be so that hand The center of gravity of arm or shoulder-arm system is positioned to such an extent as to arm is safely placed on handrail and does not beats Sliding.Especially, handrail can flatly be arranged.
This External Reference describes about the orthotic advantage according to the present invention.Described method favourable Embodiment draws from herein.
Accompanying drawing explanation
Next in the case of with reference to appended accompanying drawing, elaborate the preferred embodiment party of the present invention Formula.
Accompanying drawing illustrates:
Fig. 1 illustrates orthotic three-dimensional view;
The Fig. 2 side view from left side or shown in sagittal view KAFO;
Fig. 3 is KAFO shown in the view of front view or coronal plane;
Fig. 4 is KAFO shown in the view of rearview or coronal plane;
Fig. 5 is KAFO shown in the view of top view or transverse plane;
Fig. 6 is in lower view or at KAFO shown in the view of transverse plane;
Fig. 7 is orthotic support means shown in three-dimensional view;
Fig. 8 illustrates orthotic support means in a top view.
Detailed description of the invention
The general view of Fig. 1 to 6 illustrates the embodiment of KAFO 10 in a different view.KAFO 10 are shown as, and are arranged on the trunk of the most unshowned people or are worn on the person one such as it Sample.KAFO 10 is substantially made up of fixing equipment 11 and location equipment 12, wherein said solid Locking equipment 11 for being fixed on the trunk of people by KAFO 10, and position equipment 12 and be used for Relative to belonging to the shoulder support of arm and being fixed on the arm of the most unshowned people.Fixing equipment Location equipment 12 is retained on the trunk of people by 11 at this.Fixing equipment 11 also includes waistband apparatus 13 and shoulder strap device 14.The waistband apparatus 13 waistband 15 by softness and the pelvis in main rigidity Band 16 formation, described waistband is made up of textile material.Pelvic girdle 16 is by the plastics material of plurality of flexible Material is constituted, and the most described pelvic girdle is matched with the body shape of people and can constitute for fixed simultaneously The fixing of the relative stiffness of position equipment 12.Waistband 15 is non-releasably fixed in by end 17 On the end 18 of pelvic girdle 16, and pass through end or the end 2120 of pelvic girdle 16 of waistband On fastener 19 be releasably connected with described pelvic girdle.In addition it is possible that by means of fastener 19 change the length of waistbands 15 and then make described waistband be matched with different statures.
Shoulder strap device 14 is substantially formed by pectoral girdle 22 and shoulder belt 23.Pectoral girdle 22 is fixed on location On the far-end 24 of the handrail 25 of equipment 12 and stretch until the belly section 26 of waistband 15.Chest Can be fixed on the far-end 24 of handrail 25 by means of bracelet 27 and length is energy at this with 22 Enough regulations.Therefore by adjustable in length, balance arm or handrail 25 are also feasible. Additionally, pectoral girdle 22 is connected with waistband 15 by means of bracelet 28, wherein bracelet 28 can be with can edge The mode that waistband 15 moves to arrange.Bracelet 28 the most always can be set to so that described band Button is located substantially in the sagittal plane of trunk.Shoulder belt 23 is fixed on handrail 25 by means of bracelet 30 Near-end 29 on and people the most unshowned, deviate from and extend on the shoulder of arm Pectoral girdle 22 and being connected with described waistband by means of bracelet 31.Shoulder belt 23 is by means of bracelet 30 He 31 is adjustable length equally.Additionally, shoulder belt 23 can be by means of bracelet 31 along pectoral girdle 22 Mobile.Additionally, bracelet 27,28 and 30,31 is configured to the bracelet rotated, say, that Described bracelet can rotate so that the less desirable rotation of pectoral girdle 22 and shoulder belt 23 is reversible.
The location equipment 12 being shown specifically in figures 7 and 8 has support means 32, described support Device is fixed in the horizontal section 33 of waistband apparatus 13 or in pelvic girdle 16.Support dress Put 12 substantially to be formed by the plate 34 with mounting flange 35 and 36.Mounting flange 35 and 36 It is directly anchored in pelvic girdle 16 and by described pelvic girdle via each folding 37 and plate 34 Connect.Therefore plate 34 can tilt down or up relative to the sagittal plane of trunk.In addition fixed Position equipment 12 includes attachment means 38, and by means of described attachment means, handrail 25 can be fixed on On plate 34 or in support means 32.Handrail 25 shown here go out example in flute profile ground structure Become and then mate as far as possible the shape of forearm.The near-end 29 of handrail 25 is closely constituted for location Mode accommodate elbow.This outer armrest 25 has multiple irregular perforation 39, by described perforation, Handrail 25 is soft piecemeal.Moreover, it is proposed that the most unshowned substrate is inserted into handrail In 25, described liner achieves lays relevant arm easily.This external near-end 29 of handrail 25 On there is shell protuberance 40, described shell protuberance has upper arm straps 41.By means of upper arm straps 41, Upper arm or elbow can be fixed along the longitudinal direction of handrail 25.Far-end 24 at handrail 25 On also to be able to arrange another the most unshowned for forearm is fixed on the band on handrail 25. On the far-end 24 of handrail 25, this is outside equipped with palmrest 42, and described palmrest is relative to handrail 25 energy Enough move along its longitudinal direction.Palmrest 42 is contained in linearly drawing of handrail 25 with longitudinal movement Lead in portion 43, wherein by means of the locking convex shoulder 44 of palmrest 42, by palmrest 42 locking piecemeal And then to be fixed in linear guide portion 43 be feasible.Therefore, in order to regulate palmrest 42 enough: Extruding locking convex shoulder 44 and the simultaneously palmrest 42 in linear guide portion 43 move to desired In position.Palmrest 42 is configured to the plastic components of single type and having and props up with the palm of palmar aspect Support face 45.
The bracelet 30 of shoulder belt 23 is by means of buttonhole 46 and the set on the near-end 29 being molded in handrail 25 Pipe 47 connects.The bracelet 27 of pectoral girdle 22 is by means of the buttonhole 48 on far-end 24 and handrail 25 Wall portion section 49 connects.In the case of buttonhole 48 unclamps, it is possible to guide chest by bracelet 31 With 22, the length of shoulder strap device 14 proximally 29 to belly section 26 is extended with being maximized, Thus KAFO 10 can be taken off particularly simplely or wear.By buttonhole 48 and wall portion section The connection of 49, shoulder strap device 14 can tensioning the most simply.
Attachment means 38 is arranged on handrail 25 and the centre of plate 34.Attachment means 38 and plate 34 Constitute linear guide portion 50 together.Therefore constitute in plate 34 and have longitudinal recess 51, described longitudinal direction Recess has a row locking recess 53 on its lateral edges 52.Attachment means 38 is guided through vertical To recess 51 and by means of the clamping element 54 on the downside 55 of plate 34 from trip edge, rear 52. Attachment means 38 is therefore, it is possible to move and by means of locking along the longitudinal direction of longitudinal recess 51 Part 56 is fixed in corresponding position.Locking piece 56 is hinged on the attachment means of attachment means 38 On body 57 and can with locking recess 53 be manually operated locking.Here at locking shape The locking piece 56 illustrated under state is therefore, it is possible to unclamp from locking recess 53, to such an extent as to attachment means Body 57 can completely freely move along longitudinal recess 51.Therefore on the one hand can be on demand Ground adjustable handrail 25 and the fixing of described handrail can be carried out by means of one-handed performance, and separately On the one hand it also is able to perform handrail 35 relative to support means 32 along towards linear guide portion 50 Direction carries out relative motion to train specific muscle group.
Attachment means 38 has rotation guide portion 58 in addition, and described rotation guide portion is substantially by even Hub 59 and the axle 60 of handrail 25 in connection device 57 are formed.Upper at attachment means body 57 From hub 59, lock convex shoulder 62 on side 61 constituted with the spacing that angle is 5.Locking convex shoulder 62 leads to Cross backstop sidewall 63 and 64 gauge.Handrail 25 is therefore permissible between backstop sidewall 63 and 64 The scope of 60 degree is moved.Handrail 25 relative to trunk sagittal motion or rotate because of This can be carried out in the scope of+30 degree to-30 degree.The motion of handrail 25 also is able to be limited to one Determine scope or be fully suppressed.This is carried out by means of two stop elements 65 and 66.Backstop Element 65 and 66 is retained on the most revolvably on hub 59 and can be in the district of locking convex shoulder 62 Territory pivots around hub 59.Additionally, stop element 65 and 66 can by with locking convex shoulder 62 Lock and be fixed in its corresponding position.Therefore stop element 65 and 66 limits handrail 25 Motion.If stop element 65 and 66 is against each other, then handrail 25 is fixed and no longer Can rotate.Stop element 65 and 66 can regulate by means of one-handed performance.

Claims (15)

1. the KAFO (10) being used for supporting the arm of people, including for by described KAFO The fixing equipment (11) being fixed on the trunk of people and location equipment (12), described location equipment Support and fixing arm for the shoulder belonging to arm relative to people, wherein said location equipment Being held by described fixing equipment, wherein said fixing equipment includes waistband apparatus (13) and shoulder belt dress Putting (14), wherein when described KAFO is worn on the person, described waistband apparatus is the most flat Around trunk in face, and wherein said shoulder strap device was stretched on the shoulder of arm in deviating from of people Exhibition,
It is characterized in that,
Described shoulder strap device includes shoulder belt (23) and the pectoral girdle (22) being connected with described shoulder belt, its Described in pectoral girdle (22) be connected with described shoulder belt (23), described shoulder belt (23) is hinged on described On the near-end (29) of location equipment (12), and described pectoral girdle (22) is hinged on described location On the far-end (24) of equipment (12), described pectoral girdle (22) is also articulated to described waistband apparatus In belly section (26),
The described pectoral girdle (22) the described far-end (24) in described location equipment (12) and described waist Stretch between the described belly section (26) of belting (13),
The described shoulder belt (23) the described near-end (29) in described location equipment (12) and described chest Stretch between band (22),
Described shoulder belt (23) can connect can be arranged in the way of moving along described pectoral girdle On described pectoral girdle (22).
2. according to the KAFO described in claim 1,
It is characterized in that, described location equipment (12) is used for fixing forearm, elbow and/or upper arm.
KAFO the most according to claim 1 and 2,
It is characterized in that,
The length of described pectoral girdle (22) is to regulate.
KAFO the most according to claim 1 and 2,
It is characterized in that,
Described pectoral girdle (22) can be can move along the described waistband in described belly section (26) Dynamic mode is arranged on the waistband (15) of the described waistband apparatus (13) connected.
KAFO the most according to claim 1,
It is characterized in that,
Described location equipment (12) has support means (32), and described support means is fixed on institute State in the horizontal section (33) of waistband apparatus (13), and described location equipment have handrail (25), Wherein the arm of people can be fixed on described handrail, and wherein said support means is by means of even Connection device (38) is connected with described handrail.
KAFO the most according to claim 5,
It is characterized in that,
Described attachment means (38) is configured to so that described handrail (25) can be with can be relative to The mode that described support means (32) is unclamped is fixed.
7. according to the KAFO described in claim 5 or 6,
It is characterized in that,
Being provided with palmrest (42) on described handrail (25), described palmrest can be relative to described Handrail moves along the longitudinal direction of described handrail.
8. according to the KAFO described in claim 5 or 6,
It is characterized in that,
Described attachment means (38) is configured to so that described handrail (25) can be relative to described Support means (32) is moved.
9. according to the KAFO described in claim 5 or 6,
It is characterized in that,
Linear guide portion (50) is constituted by described attachment means (38) and described support means (32), Wherein said linear guide portion is set to so that described handrail (25) is relative to described support means Or it is feasible relative to sagittal abduction or the interior receipts of described trunk.
KAFO the most according to claim 9,
It is characterized in that, guide section can adapt to described support means (32), by means of institute State guiding section and can extend described linear guide portion (50).
11. according to the KAFO described in claim 5 or 6,
It is characterized in that,
Described attachment means (38) constitutes rotation guide portion (58) so that described handrail (25) It is feasible for rotating in the transverse plane of described trunk.
12. KAFOs according to claim 11,
It is characterized in that,
Described rotation guide portion (58) realize relative to described support means (32) or relative to The sagittal plane of described trunk rotates in the scope of+30 degree to-30 degree.
13. according to the KAFO described in claim 5 or 6,
It is characterized in that,
Described shoulder belt (23) and described pectoral girdle (22) be able to with described handrail (25) energy The mode unclamped connects.
14. according to the KAFO described in claim 5 or 6,
It is characterized in that,
Described attachment means (38) constitute inclined lead part so that described handrail (25) relative to Described support means (32) or relative to the transverse plane of described trunk tilt be feasible.
15. KAFOs according to claim 14,
It is characterized in that,
Institute is enabled to by means of to described shoulder belt (23) or the adjustment of described pectoral girdle (22) State handrail (25).
CN201280065253.6A 2012-01-06 2012-11-22 KAFO and be used for wearing orthotic method Expired - Fee Related CN104144660B (en)

Applications Claiming Priority (3)

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DE102012200165.4 2012-01-06
DE102012200165A DE102012200165B4 (en) 2012-01-06 2012-01-06 Orthosis and method for applying an orthosis
PCT/EP2012/004830 WO2013102472A1 (en) 2012-01-06 2012-11-22 Orthosis and method for the placement of an orthosis

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CN104144660B true CN104144660B (en) 2016-08-24

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JP (1) JP6006333B2 (en)
KR (1) KR20140109934A (en)
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EP2811950A1 (en) 2014-12-17
JP2015503409A (en) 2015-02-02
EP2811950B1 (en) 2017-08-16
JP6006333B2 (en) 2016-10-12
AU2012364472A1 (en) 2014-07-03
WO2013102472A1 (en) 2013-07-11
KR20140109934A (en) 2014-09-16
CN104144660A (en) 2014-11-12
DE102012200165A1 (en) 2013-07-11
US20140371644A1 (en) 2014-12-18
DE102012200165B4 (en) 2013-09-19

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